258830 05/26/16 f_CAq
`'' CITY OF CARMEL, INDIANA VENDOR: 369416
`� CHECK AMOUNT: $*******600.00*
.; ® ;• ONE CIVIC SQUARE JAMESON CAMP
4;` _
CARMEL, INDIANA 46032 2001 BRIDGEPORT ROAD CHECK NUMBER: 258830
�'��rod�O, INDIANAPOLIS IN 46231 CHECK DATE: 05/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 053116 600.00 FIELD TRIPS
Voucher No. Warrant No.
369416 Jameson Camp Allowed 20
2001 Bridgeport Rd
Indianapolis, IN 46231
In Sum of$
$ 600.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-9 CK-Request 4343007 $ 600.00 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
May 20, 2016
Signature
$ 600.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
369416 Jameson Camp Terms
2001 Bridgeport Rd
Indianapolis, IN 46231
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/31/16 CK Request Chillville Field trip 5/31/16 39941 $ 600.00
Total $ 600.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
Carmel e Clpy
Parks&Recreation CHECK REQUEST
Date: 5/10/16C ,J"
MAY 19 2016
Check payable to:
Name: Jameson Camp
Address:2001 Bridgeport Rd.
City, State,Zip Indianapolis, IN 46231
X_Mail check to payee Return check to requestor
Check Amount:$ 600.00 Date Required: 5/31/16
Check needed for: Jameson Camp for Chillville Summer Camp on 5/31/16
To be paid from: t
PO#(if applicable) 02
Budget account-GL# 1082-9 4343007
Budget Line Description Field Trip
Invoice(s)and Purchase Order(if required)MUST be attached
Requested by(print): Jennifer.Gray
Requested by(signature):
Approved by(signature of Division Manager):
on this date
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/Check Request(rev 7-7-08)
3 In L
Jtaimr darn F 1 � ;�.
2 01epot Rd,�Incliapapolis IIV 46231 MAY 19 2016
BY
Dopes Course Invoice DISCOVER!
Organization Name: Carmel Clay Parks and Recreation
Contact Person: Jennifer Gray
Address: 10404 Orchard Park Drive South
City: hidianapolis State: IN Zip: 46280
Telephone: (day) 317.679.9867 (evening)
Email: Jennifer Gray<Ig>`a @carmelclayparks.com>
Date of Even OUNlVlay 31,2016; , ` ` Time of Event: 10:15-2:00
No,of
Pricing participants
"how RopesJTeam Bixildng .._w. $12�person
(10:30-11:30-&12:15-1:30)
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